Bipartisan Bill Targets Prior Authorization Transparency, Physician Decision-Making

Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials with medical need, as determined by board-certified specialist physicians.

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Trump’s New Trade Tariffs May Hit Over 400 Canadian-Made Drugs, Cause Shortages

New taxes on prescription drugs imported from Canada could affect about 400 different drug products, according to a new analysis published in the Journal of the American Medical Association.

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Update on Employee Navigator Migration Tool for Ease Users

Migration Tool Performance: According to EN, approximately 30 brokers have successfully used the Ease>EN migration tool, which takes about five minutes per company. Notably, one broker has migrated 66 companies without any support from EN.

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Fearing Trump Cuts, California Democrat Proposes Creating State’s Own NIH

An ambitious California Democrat wants the world’s fifth-largest economy to create its own National Institutes of Health and vaccine program, saying the state can’t rely on the administration to support research and science.

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If The Supreme Court Kills ‘Free’ ACA Preventive Care Rules, What Then?

Braidwood oral arguments are set for April 21. A policy expert says many states will maintain the current standards, even if the federal rules go away

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Congress Could Let States Poke Holes In ERISA Preemption To Regulate PBMs

Congress could consider updating the provision in the Employee Retirement Income Security Act that preempts states’ efforts to regulate employee benefits. Analysts at the Congressional Research Service, an in-house research center that helps members of Congress and their aides understand the matters they’re working on, mention that possibility in a new report on recent U.S. Supreme Court ...

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How The Layoff Of 10,000 Health Workers From HHS Could Affect Your Health

The U.S. Department of Health and Human Services will cut 10,000 full-time jobs and shut down several health agencies in an effort to restructure the department. The department will downsize from 82,000 to 62,000, because 10,000 workers have already taken early retirement and voluntary separation offers from the Trump administration. Although the massive layoffs have been part ...

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Nonprofit Hospital Margins Flipped Positive In 2024: Fitch

Nonprofit hospitals’ 2024 financial performances are beating the prior year’s tough numbers, though even the stronger organizations remain “well below pre-pandemic levels,” Fitch Ratings said. In a Thursday brief describing the financial profiles of its rated nonprofit hospitals, the agency attributed the year-to-year improvements to stronger revenues and volumes as well as slightly mitigated, but ...

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Local Governments Vie for Fired Federal Workers

State, county and city governments are eager to hire former federal agency staffers targeted in DOGE cuts. But matching worker skills to local needs is a challenge.

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RFK Jr.’s Emerging Vision For HHS: More Centralized Power

Health and Human Services Secretary Robert F. Kennedy Jr. says sweeping layoffs and restructuring in the department will bring order to a bureaucracy he claims is in “pandemonium.” But experts say the overhaul also likely gives him far greater control over dozens of federal health agencies. Why it matters: HHS has long functioned like a decentralized ...

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